Journal of Clinical Oncology, Vol 23, No 14 (May 10), 2005: pp. 3203-3211
© 2005 American Society of Clinical Oncology.
DOI: 10.1200/JCO.2005.08.854
Functional Imaging in Lung Cancer
Lalitha K. Shankar,
Daniel C. Sullivan
From the Cancer Imaging Program, Division of Cancer Treatment and Diagnosis, National Cancer Institute, National Institutes of Health, Bethesda, MD
Address reprint requests to Lalitha K. Shankar, MD, PhD, 6130 Executive Blvd, Room 6048, Bethesda, MD 20892-7412; e-mail: shankarl{at}mail.nih.gov.
Accurate detection of the presence and extent of disease is vital in the management of nonsmall-cell lung cancer. While computed tomography and magnetic resonance imaging tend to be the routine diagnostic modalities used in the management of lung cancer, there have been significant advances in the field of functional and molecular imaging. In this article, we review the performance of the functional imaging techniques that are currently available for the evaluation of nonsmall-cell lung cancer. The techniques range from evaluation of glucose metabolism in tumors with fluorodeoxyglucose, to evaluation of proliferation with fluorothymidine and evaluation of tumor hypoxia with agents such as fluoromisonidazole. Magnetic resonance imaging with an emphasis on dynamic contrast enhancement of tumors as well as detecting of malignant lymph nodes with targeted contrast agents is discussed. Emerging technologies such as lung imaging fluorescence endoscopy are considered. The role of functional imaging in planning, predicting response to, and evaluating effects of, various therapies is explored.
Authors' disclosures of potential conflicts of interest are found at the end of this article.

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